腹腔镜经胆囊管纤维胆道镜取石术治疗继发性胆总管结石

Fibrocholedochoscopic cholelithotomy through the cystic duct under laparoscopy for secondary choledocholithiasis

目的:探讨腹腔镜经胆囊管纤维胆道镜取石术治疗继发性胆总管结石的可行性。方法:2006年7月至2009年6月为32例经磁共振胰胆管成像检查确诊的胆囊结石、继发性胆总管结石患者行腹腔镜经胆囊管纤维胆道镜取石术。结果:32例胆总管结石均用腹腔镜取出,无并发症发生及残余结石。结论:腹腔镜经胆囊管纤维胆道镜取石术是微创治疗胆囊结石继发性胆总管结石安全、有效的理想术式,值得在有设备及有技术条件的医院推广应用。

Objective：To investigate the feasibility of fibrocholedochoscopic cholelithotomy through the cystic duct under laparoscopy for secondary choledoeholithiasis. Methods：From Jul. 2006 to Jun. 2009 32 patients who were diagnosed as cholecystolithiasis and secondary choledocholithiasis by magnetic resonance eholangiopaucreatography were treated by fibrocholedochoscopie cholelithotomy through the cystic duct under laparoscopy. Results：Thirty-two cases of common bile duct calculi were completely removed by laparoseopy. No residual stones or complications were found. Conclusions： Fibrocholedocboscopic cholelithotomy through the cystic duct under laparoseopy is a miui-invasive, safe, effective and ideal operative method in treatment of choledocholithiasis secondary to cholecystolithiasis. It worths extension in well equipped and technique specified hospital.